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General NPI Number Information
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NPI Number | 1235286386
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Entity Type | Organization
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Legal Business Name | MEDICAL CONSULTANTS OF SOUTH FLORIDA INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 7501 WILES RD SUITE 104
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2063
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Country | US
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Telephone | 954-755-4994
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Fax | 954-755-4995
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Provider Business Mailing Address
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Address Line | 7501 WILES RD SUITE 104
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2063
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Country | US
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Telephone | 954-755-4994
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Fax | 954-755-4995
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD LEWERT
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Credential | DC
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Telephone | 954-755-4994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME46569
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6274
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License Number State | FL
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